Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Antibody Htlv-I
Pompton Plains, NJ
See all hospitals reporting CPT 86687 →Price type
Chilton Medical Center’s median price of $10 is 13% below the median hospital's median price ($11), higher than 32% of the 1,789 hospitals reporting CPT 86687. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 18 payers, 62 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Cigna cmc cigna local plus fee schedule · both | $4.82 | $4.82 | $4.82 – $4.82 |
| 2 | Cigna cmc cigna local plus fee schedule · outpatient | $4.82 | $4.82 | $4.82 – $4.82 |
| 3 | Cigna cmc cigna oap fee schedule · both | $4.82 | $4.82 | $4.82 – $4.82 |
| 4 | Cigna cmc cigna oap fee schedule · outpatient | $4.82 | $4.82 | $4.82 – $4.82 |
| 5 | Cigna cmc cigna ppo fee schedule · both | $4.82 | $4.82 | $4.82 – $4.82 |
| 6 | Cigna cmc cigna ppo fee schedule · outpatient | $4.82 | $4.82 | $4.82 – $4.82 |
| 7 | Anthem cmc medicaid fee schedule · both | $7.27 | $7.27 | $7.27 – $7.27 |
| 8 | Anthem cmc medicaid fee schedule · outpatient | $7.27 | $7.27 | $7.27 – $7.27 |
| 9 | Medicaid cmc medicaid fee schedule · both | $7.27 | $7.27 | $7.27 – $7.27 |
| 10 | Medicaid cmc medicaid fee schedule · outpatient | $7.27 | $7.27 | $7.27 – $7.27 |
| 11 | Aetna cmc aetna nnj prime fee schedule · both | $8.18 | $8.18 | $8.18 – $8.18 |
| 12 | Aetna cmc aetna nnj prime fee schedule · outpatient | $8.18 | $8.18 | $8.18 – $8.18 |
| 13 | Blue Cross Blue Shield cmc horizon omnia fee schedule · both | $8.36 | $8.36 | $8.36 – $8.36 |
| 14 | Blue Cross Blue Shield cmc horizon omnia fee schedule · outpatient | $8.36 | $8.36 | $8.36 – $8.36 |
| 15 | Aetna Better Health cmc aetna better health fee schedule · both | $8.72 | $8.72 | $8.72 – $8.72 |
| 16 | Aetna Better Health cmc aetna better health fee schedule · outpatient | $8.72 | $8.72 | $8.72 – $8.72 |
| 17 | Tricare cmc tricare-east (humana military) fee schedule · both | $8.73 | $8.73 | $8.73 – $8.73 |
| 18 | Tricare cmc tricare-east (humana military) fee schedule · outpatient | $8.73 | $8.73 | $8.73 – $8.73 |
| 19 | Aetna cmc aetna ahs employee fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 20 | Aetna cmc aetna ahs employee fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 21 | Aetna cmc aetna medicare fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 22 | Aetna cmc aetna medicare fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 23 | Anthem cmc horizon braven fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
| 24 | Anthem cmc horizon braven fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 25 | Anthem cmc horizon commercial fee schedule · both | $9.09 | $9.09 | $9.09 – $9.09 |
Last updated: Apr 1, 2026
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